UPPER EXTREMITY-2
DR VINIT K ASHOK
ADJUNCT FACULTY
BLOOD SUPPLY
VEINS OF UPPER LIMB
SURFACE ANATOMY
CUBITAL FOSSA
CUBITAL FOSSA
STYLOID PROCESS
ANATOMICAL SNUFF BOX
AXILLA( ARMPIT)
-APEX –( BETWEEN THE CLAVICLE,SCAPULA AND 1ST RIB)
-BASE-(AXILLARY FASCIA)
-ANTERIOR ( PECTORALIS MAJOR AND MINOR MUSCLES)
-POSTERIOR( SUBSCAPULARIS,LATISSIMUS DORSI AND TERES MAJOR)
MEDIAL- ( FIRST 4 RIBS AND SERRATUS ANTERIOR MUSCLE)
LATERAL-( BICEPETAL GROOVE OF THE HUMERUS)
-AXILLARY LYMPH NODES
-AXILLARY ARTERY /VEIN
-BRACHIAL PLEXUS
BRACHIAL PLEXUS
UPPER
MIDDLE
LOWER
FORMED IN THE NECK
DIVISIONS AND CORDS OF BRACHIAL PLEXUS
PINK-ANTERIOR DIVISION
BLUE -POSTERIOR DIVISION
LATERAL CORD-ANTERIOR DIVISIONS OF UPPER AND MIDDLE TRUNK
POSTERIOR CORD-POSTERIOR DIVISIONS OF ALL TRUNKS
MEDIAL CORD-ANTERIOR DIVISION OF LOWER TRUNK
CORDS ARE NAMED ACCORDING TO THEIR RELATIVE POSITIONS TO THE AXILLARY ARTERY
BRACHIAL PLEXUS
NERVES ARISING FROM THE CORDS
NERVES FROM THE POSTERIOR CORD
IMPORTANT NERVES AND AREA OF SUPPLY
INPORTANT NERVES AND THEIR AREA OF SUPPLY
AXILLARY NERVE
RADIAL NERVE
CARPAL TUNNEL
CARPAL TUNNEL SYNDROME
SYMPTOMS- TINGLING OR NUMBNESS-LATERAL PART OF HAND, WEAKNESS IN THUMB MOVEMENT
TREATMENT- REST, SPLINTING,ANTI-INFLAMMATORY DRUGS, SURGERY
CUBITAL FOSSA
BOUNDARIES
-BASE- LINE DRAWN BETWEEN THE EPICONDYLES OF THE HUMERUS
LATERAL BOUNDARY-BRACHIORADIALIS
MEDIAL BOUNDARY- PRONATOR TERES
APEX- WHERE THE MEDIAL AND LATREAL BOUNDARY MEET
CONTENTS
CUTANEOUS INNERVATION OF HAND( ANTERIORLY)
LATREAL 31/2 FINGERS AND LATERAL PALM – MEDIAN NERVE
MEDIAL 11/2 FINGERS AND MEDIAL PALM- ULNAR NERVE
CUTANEOUS NERVE SUPPLY HAND ( POSTERIORLY)
MEDIAL 11/2 FINGERS AND HAND- ULNAR NERVE
TIPS OF FINGERS LATERAL 31/2 FINGERS- MEDIAN NERVE
REST OF LATERAL 31/2 FINGERS AND HAND - RADIAL NERVE